DOCUMENTS Initial Application Dale 11 ) 1 E) Application N 1 E) EOE)y-3 30P
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street.Lilli gton,NC 27546 Phone:(910)893-7525 exl:2 Fax:(910)8932793 www.hamettorglpermis
'A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)L SIZE PLAN ARE REQUIRED WHEN SUBMITONG A LAND USE APPLICATION'
LANDOWNER:McKee Homes, LLC NangMMe..:109 Hay Street, Ste 301
Cry: Fayetteville State:NC zip:28301 Contact No: 9104757100 Email: krivera@mckeehomesnc.com
AppucANr:McKee Homes, LLC Moping Address:109 Hay Street, Ste 301
City: Fayetteville State:NC Zlp_28301 Contra No: 9104757100 Emu; krivera@mckeehomesnc.com
P ee fill out applicant bromism N different man uiMawer
CONTACT NAME APPLYING IN OFFICE:Kelsey Rivera phone R 9104757100,727
PROPERTY LOCATION:Subdivision: Anderson Creek 1- ,,s�. T/ Lot#:70 Lot size. .22
State re
Road N 'T S C1 State Road Name: 1 r rv14.e51c f} r• Map Book 8 Page: 2015/25a)
perms: 01053524 0100Y36 1� INN: 0505-83-3199.000
Zoning:RA-20R Hood Zone: Watershed:N 1 1 Deed Book A Page:3343 ,0040 power company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
U SFD:(Size °5_10'x 431 )N Bedrooms:4 N Baths? : sem w/wo bath):_Cara e.X _CraM Space[Iab .151(Is the bonus room finished?ig yes no w/a closet? yes no(If yes add in with N bedrooms)
O Mod:(Size_x_)N Bedrooms N Baths_Basement(wtwo bath)_Garage:_Site Built Deck: On Frame_Off Frame_
(Is the secondfioor finished?()yes ( )no Any other site built additions?()yes (J no
O Manufactured Home:_5W_DW TW(Size x )N Bedrooms:_Garage: (site built? )Deck: (site built?_)
D Duplex:(Size x_)No.Buildings: No.Bedrooms Per Unit:
U Home Occupation:N Rooms: Use: Hours of Operation: *Employees:
U Addition/Accessory/Other(Size x 1 Use: Closets in addition?(J yes (_)no
Wafer Supply: X County _Existing Well _New Well(N of dwellings usurp well_)*Must have operable water before final
Sewage Supply:_New Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Checklist) X County Sewer
Does owner of this tract of land,own land that contains a manufactured horns within five hundred feet(500')of tract listed above?(_)yes (1)no
Does the property contain any easements whether underground or overhead LJ yes XL)no
Structures(existing or proposed):Single family dwellings:X Manufactured Homes: Other(specify):
Required Residential Properly Line Setbacks: Comments:.
Front Minimum Actual
Rear I
Closest Side 1 3•(,0'4
SMesureetkomer let_
Nearest Buildk g
on care lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINOTON: Nursery Road to Enterance
If hands are granted I agree to canton to all ordinances and lewd of the Slate of North Carolina regulating such work and the epeadcaaorr of plans submitted.
1 hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation If false information is provided.
Kelsey Rivera le:201a0,1asas:54-O5 8 1/31/2018
Signature of Owner or Owners Agent Dab
"'R is the awnahpplicanb reepoealbilfy to provide the county will,any applicable information about the subject property,inauding but not Smiled
to:boundary Information,house location,underground ar overhead easements,etc.The county or Its employees are not responsible for any
incorrect or missing Information that Is cantalned within these appfcatlorrs.!"
"This application expires S monis from the In1Wl dab If permits have not been Issued"
Residential Land Use Application Page 2 of 2 03111
HOUSE PLAN: OIL(MORE - CRAFTSMAN W/COVERED PORCH - LH
\ R=150.00'
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PLOT PLAN ;oe-.N....••.z '%
09//09(11 Application#
Harnett County Central Permitting
Each seem tirbWbIM INNS ail PO Box 86 Langton NC 27548
bye/weever perbrning won 0/08637626 Fax 0108932193 www hamsa gprpemip
Must W mew ar loarss4
ansae Aoolicatton for Residential Budding and Trades Paan,[
Owners Name McKee Homes, LLC Date 1/31/2018
Site Address 459 Timber Skip Drive Phone 9104757100 727
Directions to pb site from Ldlmgton Nursery Road to enterance
Subdivision Anderson Creek Lot 70
Desorption of Proposed Work Smote Family Home #of Bedrooms 4
Heated SF 2330 Unheated SF 682 Finished Bonus Room,_Crawl Space _Slab X
gnitIdatilgLISkta
GML Development, Inc 910-475-7100,727
Building Contractors Company Name Telephone
109 Hay Street, Ste 301, Fayetteville, NC 28301 krivera@mckeehomesnc.com
Address Email Address
63970
License#
EggflEgall
Description of Work Single Family Home Service Size 200 Amps T-Pole X Yes_No
J.M. Pope Electric 919-776-58144
Electrical Contractors Company Name Telephone
409 Chatham Street, Sanford, NC 27330 jmpopeelectric@gmail.com
Address Email Address
21326-L
License#
�achanicNMVAC Contractor Informattog
Descnption of Work Single Family Home
Certified Heating and Air 910-858-0000
Mechanical Contractor Company Name Telephone
P.O. Box 1071, Hope Mills, NC 28348 certified heatair@embargmaii.com
Address Emal Address
2012 H3-1
License#
Plumbma Cantracter tunnbon
Description of Work Single Family Home #Baths 2.5
Dell Haire Plumbing 910-818-4863
Plumbing Contractors Company Name Telephone
7612 Documentary Drive, Fayetteville, NC 28306 dellhaireplumbing@hotmail.com
Address Email Address
32886 P1
License#
Mutilation Contractor Informal=
Cumberland Insulation 910-484-7118
Insulation Contractors Company Name&Address Telephone
'NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the su0ronty to make necessary application that the appl Gabon is correct
and that-the construction will conform to the regulations in the Budding Electoral Plumbing and
Mechanical codes and the Hamett County Zoning Ordinance I state the information on the above
contractors is correct all known to me and that by mamma babes I haw ob ansd ell aubaanbaafara
Deraggegg to ehsm thssa Dene and if egg changes occur including listed contractors site plan
number of bedrooms budding and trade plans Environmental Health permit changes or proposed use
changes I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes
EXPIRED PERMIT FEES-a Months to 2 years permit re-issue fee is$150 00 Mer 2 years re-issue fee
is as per current fee schedule
Kelsey Rivera wpm, 1/31/18
Signature of Owcer/Contractor/Offncer(s)of Corporation Date
Affidavit for Worker's Compensation N C G 8 87-14
The undersigned applicant being the
XGeneral Contractor _Owner _Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of penury that the person(s) firm(s)or corporaton(s)performing the work
set forth m the permit
_Has three(3)or more employees and has obtained workers compensation insurance to cover them
Has one(1)or more subcontractors(s)and has obtained workers comperrosbon insurance to cover
them
X Has one(1)or more subcontractors(s)who has their own policy of workers compensation insurance
covemg themselves
_Has no more than two(2)employees and no subcontractors
While working on the project for Such this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance pnwr
to issuance of the permit and at any time dung the permitted work from any person firm or corporation
carrying out the work
Company or Na McKeeeHomesL LLC
Sign wade Rivaera wte2018mt1 PreConstruction Coordinator DAte 1/31/18
Appointment of Lien Agent: Details-LiensNC Lien Service helps://apps.liensnc.com/scr/appointmentldetails.html?entryNumb...
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed 01/30/201e
Entry #: 791180 Initially flied by: Jbuckwalter
Designated Lie. Agent Project Propene Print & Post
Fos American Title Insurance Company Anderson Creek Crossing Lot 70 Harnett County �.� El
459 Timber Skip Drive n'iYN
Online:www liensnc cans...v.s NCIra '7.1
Address:l 9W.Hagen Si,Suite 507/IWei05 NC 1:1 .en
17601
Contractors:
nem:gsee9o-7384 Propene Tspe Please post this notice on the lob Site.
Fart 913-4S9.5131
Suppliers sad Subcontractors:
suuttorallensnecam,W.._..,_.a Scan this image with your smart phone to
1-2 Family Dwelling view this filing.You can then file a Notice
IO Lien Agent for this project.
Ower Iderneue. Date of First Furnishing
McKee Homes,LLC
109 Hay Street 02112/2018
Suite 301
Fayetteville, NC 28301
United Stales
Email:krivera@mckeehomesne.mm
Phone.910-475-7100
View Comments(0)
Technical Support Hotline:(888)690-7384
1 of 1 1/30/18, 11:43 AM
LIEN AGENT INFORMATION
Effective April 1,2013
In accordance with North Carolina General Assembly Session Law 2012-158,
Inspection Departments are not allowed to issue any permit where the project cost
is $30,000 or more unless the application is for improvements to an existing
dwelling that the applicant uses as a residence OR the property owner has
designated a lien agent and provided the inspections office with the information
below:
Name of Lien Agent First American Title Insurance Company
Mailing address of Agent 19 W. Hargett St, Ste 507
Ralerigh, NC 27601
Physical address of Agent Same as above
Telephone 888-690-7384 Fax 913-489-5231
Email support@liensnc.com
The information will be attached to the permit record and a copy provided to the
applicant. The applicant is required to post a copy on the construction site.
Excerpt from North Carolina G.S. 160A-417:
"(Effective April 1,2013)No permit shall be issued pursuant to subdivision(1)of subsection(a)of
this section where the cost of the work is thirty thousand dollars($30,000)or more,other than for
improvements to an existing single-family residential dwelling unit as defined in G.S. 87-15.5(7) that
the applicant uses as a residence, unless the name,physical and mailing address,telephone number,
facsimile number,and electronic mail address of the lien agent designated by the owner pursuant to
G.S.44A-11.1(a)is conspicuously set forth in the permit or in an attachment thereto.The building
permit may contain the lien agent's electronic mail address. The lien agent information for each
permit issued pursuant to this subsection shall be maintained by the inspection department in the
same manner and in the same location in which it maintains its record of building permits issued."
www.liensnc.com
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043308 Date 2/23/18
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - -
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning UNZONED
Owner Contractor
MCKEE HOMES LLC GML DEVELOPMENT INC
109 HAY ST 5112 . PINE BIRCH DRIVE
STE 301 RALEIGH NC 27606
FAYETTEVILLE NC 28301 (919) 793-5237
(910) 475-7100
Applicant
MCKEE HOMES LLC #70
109 HAY ST
STE 301
FAYETTEVILLE NC 28301
(910) 475-7100
- Structure Information 000 000 45 . 10X43 4BD 2 . 5BA MONO W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BATHS 2 . 5
# BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1230192 0
Issue Date . . . 2/23/18 Valuation . . . .
Expiration Date . 2/23/19
Special Notes and Comments
T/S: 02/14/2018 11 :28 AM JBROCK ----
ANDERSON CREEK #70
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 18-50043308 Date 2/23/18
Property Address 91749 TECH 2
PARCEL NUMBER , , - - - - - - -
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning UNZONED
Permit BLDG,MECH,ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1230192
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE //-
20 104 B104 R*FOUND & SETBACK VERIF SURVEY //
30-999 309 P309 R*PLUMB UNDER SLAB _�/-
30-999 205 E205 R*ELEC UNDER SLAB _/_/_
40-50 129 I129 R*INSULATION INSPECTION / /
40-60 425 R425 FOUR TRADE ROUGH IN —/ /
40-60 125 R125 ONE TRADE ROUGH IN —/—/-
40-60 325 R325 THREE TRADE ROUGH IN —//
40-60 225 R225 TWO TRADE ROUGH IN —//
50-60 429 R429 FOUR TRADE FINAL —//
50-60 131 R131 ONE TRADE FINAL _/_/_
50-60 329 R329 THREE TRADE FINAL _/ /_
50-60 229 R229 TWO TRADE FINAL _/_/_
50-60 209 E209 R*ELEC TEMP POWER CERT / /
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: JBROCK Type: CP Drawer: 1
Date: 2/23/18 52 Receipt no: 262923
Year Number Amount
2018 50043388
91749 TECH 2
LILLINGTON, NC 27546
111 BP - PERMIT FEES
41000.86
SED
MCKEE HOMES
fender detail
CP CREDIT CARD 41088.80
41080.80
Total tendered
Total payment 41080.00
Trans date: 2/23/18 Time: 12:81:07
** THANK YOU FOR YOUR PAYMENT **